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Diagnosis of intraductal papillary mucinous neoplasm using endoscopic ultrasound guided microbiopsies:A case report

Diagnosis of intraductal papillary mucinous neoplasm using endoscopic ultrasound guided microbiopsies:A case report

作     者:Charlotte Vestrup Rift Bojan Kovacevic John Gásdal Karstensen Julie Plougmann Pia Klausen Anders Toxvaerd Evangelos Kalaitzakis Carsten Palnaes Hansen Jane Preuss Hasselby Peter Vilmann 

作者机构:Department of PathologyCopenhagen University Hospital RigshospitaletCopenhagen 2100Denmark Gastro UnitDivision of EndoscopyCopenhagen University Hospital Herlev and GentofteHerlev 2730Denmark Gastro UnitDivision of SurgeryCopenhagen University HospitalHvidovre2650 HvidovreDenmark Department of PathologyCopenhagen University Hospital Herlev and GentofteHerlev 2730Denmark Department of Gastrointestinal surgeryCopenhagen University Hospital RigshospitaletCopenhagen 2100Denmark 

出 版 物:《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志(英文版)(电子版))

年 卷 期:2018年第10卷第7期

页      面:125-129页

学科分类:10[医学] 

主  题:Microbiopsy Pancreatic cyst Endoscopic ultrasound-fine needle aspiration Intraductal papillary mucinous neoplasm Chronic pancreatitis 

摘      要:Pancreatic cysts are increasingly diagnosed due to expanding use of cross-sectional imaging,but current diagnostic modalities have limited diagnostic ***,a novel through-the-needle microbiopsy forceps has become available,offering the possibility of obtaining cyst-wall *** present a case of 41-year-old male with chronic pancreatitis and a 2-cm pancreatic cyst,initially considered a ***,endoscopic ultrasou-nd guided microbiopsies were successfully obtained,which surprisingly revealed an intraductal papillary mucinous neoplasm of mixed subtype with low grade *** conclusion,obtaining biopsies from the wall of the pancreatic cystic lesions with this novel instrument is feasible and,as demonstrated in this case,can possibly alter the clinical *** offered enough cellular material,allowing supplemental gene mutation analysis,which combined with other modalities could lead to a more individual approach when treating pancreatic ***,prospective studies are warranted before routine clinical implementation.

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